Organization
LOURDES MEDICAL ASSOCIATES, PA
Active
Parent organization
LOURDES MEDICAL ASSOCIATES, PA
Other names
Lourdes Medical Associates Hospitalists at OLOLMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOURDES MEDICAL ASSOCIATES, PA
Authorized official
DR. STEVEN FOX MD (PRESIDENT)
(856) 796-9200
Entity
Organization
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3500
(856) 668-8479
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6535704
—
NJ
Enumeration date
05/08/2015
Last updated
05/08/2015
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